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NPI Code Detail

MEDICARE: DR. DAYNE MATTHEW NELSON M.D.

MEDICARE: DR. DAYNE MATTHEW NELSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician0054391CO

General Provider Information

NPI Number : 1962479766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAYNE MATTHEW NELSON M.D.
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number : 410-581-1600
Fax Number :
Provider Business Practice Location Address
First Line : 2352 MEADOWS BLVD STE 300
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-8419
Country : US
Telephone Number : 720-455-0670
Fax Number : 720-455-0671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 05/30/2025

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